Özet:

Purpose: The iam of this study is to compare the psychiatric load of migraine and tension type headaches; which are the most common reason of headaches, with the help of DSM (Diagnostic and Statistical Manual of Mental Disorders) and DCPR (Diagnostic Criteria of Psychosomatic Research) systems and to contribute in the approach to these patients.  Materials and Methods: One hundred patients included in the study, that applied to Erenkoy Mental Hospital who were diagnosed as migraine and tension type headache according to the International Classification of ICHD-II and they signed the informed consent form on a voluntary basis. Informed consent forms, data collection forms, Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) scale, structured DCPR interviews were performed on the patients.  Results: In our study, both DCPR and SCID were performed on 100 headache patients. After SCID, psychiatric illness was revealed in the 35 percent of migraine patients and in the 42.5 percent of tension-type headache patients. While with SCID 38 patients could be diagnosed, 95 patients could be diagnosed with DCPR. Patients who were not diagnosed with SCID were diagnosed with DCPR with the percentage of 93.5 (58 patients), patients who were diagnosed with SCID were diagnosed with DCPR with the percentage of 97.4 (37 patients). Only one patient who was diagnosed with SCID was not diagnosed with DCPR (2.6%). The DCPR classification system diagnoses higher patients with psychosomatic headaches than the DSM classification system.

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